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Patients who come out of confinement often require follow-up care. In light of this, it paved the way for the Transitional Care Management (TCM) concept. TCM is for doctors, specialists, and non-qualifying medical practitioners to provide care to patients who have been discharged from hospitals or other CMS (Centers for
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Profit Calculator Assumptions: 40% of total Medicare patients enrolling is based on (i) Medicare Chart Book’s data showing that ~68% of medicare patients qualify for CCM (2 or more chronic conditions), and (ii) that ~40% of eligible patients will enroll.
For typical providers, $46.67 of net profit per patient per month is based on a Medicare reimbursement per patient per month (national average) for various care management CPT codes.
CPT and other codes, descriptions and other data are copyright 2011 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA).